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Chapter 17 - Neuroanesthesia

Published online by Cambridge University Press:  24 May 2023

By
Lakshmi N. Kurnutala  and
Vishal Yajnik
Edited by
Alan David Kaye  and
Richard D. Urman
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Richard D. Urman
Affiliation:
Brigham and Women’s Hospital, Boston
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Summary

Anesthesia for neurosurgical procedures is challenging. Understanding of neuroanatomy, physiology, and pharmacology gives anesthesiologists the opportunity to optimize patient care. Tailoring anesthesia, including medications, monitoring techniques, and physiologic manipulation, relates closely to the patient’s pathology and surgical procedure. Maintaining cerebral perfusion pressure (CPP), controlling the intracranial pressure (ICP), and preventing the progression of neurologic insults are an integral part of perioperative neuroanesthesia care.

Type
Chapter
Information
Cambridge Handbook of Anesthesiology , pp. 273 - 286
Publisher: Cambridge University Press
Print publication year: 2023

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References

Further Reading

Gritti, P, Akeju, O, Lorini, FL, Lanterna, LA, Brembilla, C, Bilotta, FA. Narrative review of adherence to subarachnoid hemorrhage guidelines. J Neurosurg Anesthesiol. 2018;30(3):203–16.Google Scholar
Gupta, A, Gelb, A, Duane, D, Adapa, R, eds. Gupta and Gelb’s Essentials of Neuroanesthesia and Neurointensive Care, 2nd ed. Cambridge: Cambridge University Press; 2018.Google Scholar
Kurnutala, LN, Soghomonyan, S, Bergese, SD. Perioperative acute hypertension-role of clevidipine butyrate. Front Pharmacol. 2014;5:197.CrossRefGoogle ScholarPubMed
Kurnutala, LN, et al. Semisitting position and venous air embolism in neurosurgical patients with patent foramen ovale: a systematic analysis. Int J Anesth Res. 2016;4(8):305–12.Google Scholar
Pasternak, JJ. Neuroanesthesiology update. J Neurosurg Anesthesiol. 2020;32(2):97–119.Google Scholar
Soghomonyan, S, et al. Neurophysiological monitoring during surgery on the central nervous system: the role of evoked responses. Int J Anesth Res. 2015;3(6):119–29.Google Scholar
Zuleta-Alarcon, A, Castellon-Larios, K, Moran, KR, Soghomonyan, S, Kurnutala, LN, Bergese, SD. Anesthesia-related perioperative seizures: pathophysiology, predisposing factors and practical recommendations. Austin J Anesth Analg. 2014;2(4):9.Google Scholar

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